FirstRanker Logo

FirstRanker.com - FirstRanker's Choice is a hub of Question Papers & Study Materials for B-Tech, B.E, M-Tech, MCA, M.Sc, MBBS, BDS, MBA, B.Sc, Degree, B.Sc Nursing, B-Pharmacy, D-Pharmacy, MD, Medical, Dental, Engineering students. All services of FirstRanker.com are FREE

📱

Get the MBBS Question Bank Android App

Access previous years' papers, solved question papers, notes, and more on the go!

Install From Play Store

Download MBBS Extrahepatic Biliary Apparatus Lecture PPT

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) Latest Extrahepatic Biliary Apparatus Lecture PPT

This post was last modified on 30 November 2021


EXTRAHEPATIC BILIARY

APPARATUS

--- Content provided by FirstRanker.com ---


INTRAHEPATIC

BILIARY SYSTEM

--- Content provided by FirstRanker.com ---

NOT

OUR BUISNESS


--- Content provided by FirstRanker.com ---

EXTRAHEPATIC BILIARY APPARATUS

Consists of :

1. Rt. hepatic duct

--- Content provided by FirstRanker.com ---


2. Lt. hepatic duct

3. Com. hepatic duct

--- Content provided by FirstRanker.com ---

4. Cystic duct

5. Com. Bile duct

6. Gallbladder

--- Content provided by FirstRanker.com ---



HEPATIC DUCTS

? Emerge from

--- Content provided by FirstRanker.com ---


porta hepatis

? Rt. & Lt. HDs

--- Content provided by FirstRanker.com ---

unite to form

Common Hepatic

Duct(CHD)

--- Content provided by FirstRanker.com ---


? CHD =4 cm

? CHD descend in

--- Content provided by FirstRanker.com ---

lesser omentum

? Joined by cystic

duct to form CBD

--- Content provided by FirstRanker.com ---



GALL BLADDER

Pear shape

--- Content provided by FirstRanker.com ---


?7-10 cm in length

?Up to 50 Ml

--- Content provided by FirstRanker.com ---

?In the gallbladder

fossa on the visceral

surface of the liver

--- Content provided by FirstRanker.com ---




Gall Bladder(Parts)

--- Content provided by FirstRanker.com ---

?Fundus

?Body

?Neck

--- Content provided by FirstRanker.com ---


?Infundibulum

(Hartmann's pouch)

--- Content provided by FirstRanker.com ---


Surface projection of

fundus: Right linear

--- Content provided by FirstRanker.com ---

semilunaris// right costal

margin = Murphy's point


--- Content provided by FirstRanker.com ---

RELATIONS OF

GALLBLADDER:

ANTERIORLY:

--- Content provided by FirstRanker.com ---


? Ant. Abdominal wall

? Inferior surface of

--- Content provided by FirstRanker.com ---

liver

POSTERIORLY:

? Transverse colon

--- Content provided by FirstRanker.com ---


? 1st & 2nd

duodenum

--- Content provided by FirstRanker.com ---


CYSTIC DUCT

? 3.8 cm

--- Content provided by FirstRanker.com ---

? Somewhat S shaped

? Its mucous membrane

is forming a spiral fold

--- Content provided by FirstRanker.com ---


( the spiral valve )


CALOT'S TRIANGLE

--- Content provided by FirstRanker.com ---



Moynihan's hump


--- Content provided by FirstRanker.com ---

BLOOD SUPPLY:

?ARTERIAL :

Cystic artery

--- Content provided by FirstRanker.com ---


? VENOUS :

Cystic vein

--- Content provided by FirstRanker.com ---

? LYMPHATICS :

A cystic LN at the neck

of GB

--- Content provided by FirstRanker.com ---


? NERVES :

Autonomic from

--- Content provided by FirstRanker.com ---

coeliac plexus

Cholecystokinin


--- Content provided by FirstRanker.com ---

BILE DUCT/COMMON BILE DUCT

? 8cm(3 inch) long &

about 6mm in dia.

--- Content provided by FirstRanker.com ---


? 1st course (Lesser

Omentum)

--- Content provided by FirstRanker.com ---

? 2nd course

(behind 2nd Duo.)

? 3rd course ( post.

--- Content provided by FirstRanker.com ---


To head of

pancreas )

--- Content provided by FirstRanker.com ---



Blood supply of Bile Duct


--- Content provided by FirstRanker.com ---

SPHINCTERS
Clinical points:

? Gallstones

--- Content provided by FirstRanker.com ---

? Biliary colic (epigastric pain, jaundice &

pancreatitis)

? Acute cholecystitis & referred pain to

--- Content provided by FirstRanker.com ---


shoulder

? Cholecystectomy ( variations )

--- Content provided by FirstRanker.com ---

? Gangrenous ( single arterial supply )

? Biliary atresia
Imaging of the Biliary Tract

--- Content provided by FirstRanker.com ---

1. Cholecystography
2. Ultrasound
3. Endoscopic Retrograde

Cholangiopancreatography(ERCP)

--- Content provided by FirstRanker.com ---


4. Magnetic Resonance

Cholangiopancreatography(MRCP)

--- Content provided by FirstRanker.com ---


Endoscopic retrograde

Magnetic resonance

--- Content provided by FirstRanker.com ---

cholangiopancreatography(ERCP)

cholangiopancreatography(MRCP)